Individual
ANTHONY LOUIS CARDELLIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
50505 SCHOENHERR RD STE 230, SHELBY TOWNSHIP, MI 48315-3140
(586) 803-3484
(586) 803-3354
Mailing address
6483 CITATION DR STE B, CLARKSTON, MI 48346-2994
(248) 861-0010
(248) 861-0020
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101014635
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1962158303
GROUP NPI
—
05
—
4501513
—
MI
Enumeration date
07/18/2006
Last updated
10/30/2023
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